FANZCA FANZCA Perioperative Care and Management

Question 1

According to FANZCA perioperative guidelines, what is the recommended fasting time for clear fluids prior to elective surgery in healthy adults?

Accepted Answer

2 hours

Answer

6 hours

Answer

4 hours

Answer

8 hours

Question 2

What is the primary goal of Enhanced Recovery After Surgery (ERAS) protocols in the perioperative period?

Accepted Answer

Minimizing physiological stress responses to improve recovery and reduce complications

Answer

Reducing the duration of anesthesia

Answer

Eliminating the need for postoperative analgesia

Answer

Mandating same-day discharge for all surgical patients

Question 3

Which ASA physical status classification applies to a patient with severe systemic disease that is a constant threat to life?

Accepted Answer

ASA IV

Answer

ASA III

Answer

ASA V

Answer

ASA II

Question 4

What is the principal anesthetic concern with a patient presenting for surgery with an undiagnosed difficult airway?

Accepted Answer

Risk of 'cannot intubate, cannot oxygenate' (CICO) situation requiring surgical airway

Answer

Delayed emergence from anesthesia

Answer

Increased risk of awareness under anesthesia

Answer

Higher requirement for muscle relaxants

Question 5

In the context of perioperative fluid management, what does goal-directed fluid therapy (GDFT) primarily use to guide intravenous fluid administration?

Accepted Answer

Dynamic hemodynamic parameters such as stroke volume variation and pulse pressure variation

Answer

Central venous pressure alone

Answer

Urine output as the sole indicator

Answer

Static filling pressures measured by pulmonary artery catheter

Question 6

Which perioperative event is described as a sudden drop in end-tidal CO2 combined with hypotension and hypoxia, classic for venous air embolism?

Accepted Answer

Entrainment of air into an open venous system during surgery

Answer

Pulmonary embolism from DVT

Answer

Bronchospasm from latex allergy

Answer

Tension pneumothorax from positive-pressure ventilation